Active NPI
Opheliamor Agapito Guzman, PHARM D
- Pharmacist
- Norfolk, VA
National Provider Identifier
1780802090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207983
- Practice address
- 860 Kempsville Rd
Norfolk, VA 23502-3920 - Phone
- (757) 455-0325
- NPI assigned
- Apr 23, 2007
- Last updated
- Feb 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0203010364 | VA | |
| Pharmacist | 183500000X | 0202207983 | VA | Primary |
Addresses
Primary practice location
860 Kempsville Rd
Norfolk, VA 23502-3920
Mailing address
2109 Kindness CT
Virginia Beach, VA 23456-2206
Phone (757) 270-2175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207983 | VA | MD | Pharmacist |
| 0203010364 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644105600000",
"number": "1780802090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 KINDNESS CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234562206",
"telephone_number": "757-270-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023920",
"telephone_number": "757-455-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "OPHELIAMOR",
"middle_name": "AGAPITO",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0203010364",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.